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HomeMy WebLinkAboutBuilding Permit #271 - 352 Forest Street 10/12/2007 BUILDING PERMIT TOWN OF NORTH ANDOVER 3 - ` APPLICATION FOR PLAN EXAMINATION .0 co, ""�y Date Received Permit N0: �� �SSACHUSE� Date Issued: / IMPORTANT Applicant must complete all items on this page x rr u s b €� p"x' x .t a5 ' x r � IVA y. T". ,.�,�' `. ZRZ . ��. rp`� ,$'d �x:. 4ary„ ss x+ ' % a :. � rrsU`'.���s�.y��.-��-�.czp���4�..s�.. ��zx�� �., ..'�t,� a.�.n? a� ��R }��si.,�:�'�ry x'8��.�'�RC��•7,�a� ��?����.' � .n, x�S�:.�,�;c�^�_ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: 11 Commercial ❑ Repair, replacement 1XAssessory Bldg e 0 Others: ❑ Demolition ❑ Other /a,k JZ S W 211 OW s.a ;•� y rte+ It DESCRIPTION OF WORK TO BE PREFORMED: � n �- Identification Please Type or Print Clearly) OWNER: Name:` c - , �0�� Phone: � � 1 � � Address f-7�LI �Q✓���'�- x01 x j ref 2 �tr .; �; .cs'f � - gf 4 v„� .: ,. 'fit -: '� c: 3 �. t ,. .� ° 'vp" Yti 3✓ °' X i�r,.'f'S�`4 `$ '>. l � 'qy, ° f �" ss- �r ''ra' e raz a: r� �s, - a- ?'az {a3 ."� :2 a `� fY, r�X� ,. ,. ;`�,4 r z t - �e..kgr k {*„ a K �`+ ftf"�`I z+d.^,L.� ' 4, 1 °h..� .. �ft 1� "�'�*.�;.�. � pp il`5 '.a 'Y'�3 !' mS £n�' t ""' ✓ } aL ',r,t3' 14 "a b�7•� N "+t � k 7p:4 +"4 M .B'i E'A�..� ARCHITECT/ENGINEER �/� Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $f ac� FEE: $ //�� ` OQ ' Check No.: 2t�� Receipt No.: Z) NOTE: Persons contacting with unre istere ontractors do not have access to the guaranty fund �x 1"x''�"`"x '•xax.°o�nrr±'T "d" xx*"F` L :' '" 7'W�'�fwr.iy`�"'}�`'" c' d°"',�"q'".r. ` »ar' ' .' "# §19104a pare�f Age VU S nGI# r of t-ay+► k Location /s No. f Date /0 -9 ,4pRTM TOWN OF NORTH ANDOVER + Certificate of Occupancy $ ��s' °''•<�' Building/Frame/Frame Permit Fee $ s�cMust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # c) 20677 Building Inspector CIiT �� fi 77777 :w Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions._ Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date _...._.__....._....__........_.............._, Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses a Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING &-DEVELOPMENT ❑ ❑ COMMENTS DA JECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ COMMENTS 6 r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street "'Fl,Rx ��AR 'IUE NTTer .p Dirxtpat{e a Lol NORTH Tovm Of And No. - ._ � C%o LAK o � dower, Mass., • COCKIC EWICK ��p AERATED O'Pa,��� S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System R `V BUILDING INSPECTOR THISCERTIFIES THAT............��/ ............................................................................................................................. Foundation has permission to erect...................:.................... buildings on ... .3. .......� ....... ...... Rough tobe occupied as.......Wx r7w. a.....4.4....0...................................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough a PERMIT' EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS ONSTRUC S I, S Rough .......................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building _ GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. Ii 1 LIST 3 IndustrYal Drive 2007 PRICE Hudson,NH 03051 Toll Free: (888) 85-SHEDS : I Y Tel: (603) 883-1362 Fax: (603) 882-9566 www.reedsferry.com AMERICAN COUNTRY HISTORIC COLONIAL/ CLASSIC CARRIAGE TRADITIONAL GAMBREL SIZES AVAILABLE IN THESE MODELS SIZE #1 #2 #3 #4 #5 #6 PINE VINYL CEDAR PINE vl""" - VINYL CEDAF 6X8 1,279.00 1,489.00 1,659.00 6X10 " 1,589.00 1,699.00 1,999.00 i 8X8 1,509.00 1,759.00 1,959.00 )0 1,819.00 2,159.0( 8X10 '" 1,869.00 1,999.00 2,379.00 �j )0 2,149.00 2,599.0( 8X12§ 2,159.00 2,329.00 2,699.00 )0 2,489.00 2,979.01 l� 8X14 2,399.00 2,609.00 2,989.00 mak. z'4 0 2,749.00 3,289.01 8X16 2,809.00 2,969.00 3,459.00 ,� U 0 3,199.00 3,799.01 10X10 "` 2,159.00 2,389.00 2,729.00 pJ 3 2,499.00 2,999.01 10X12§ 2,479.00 2,649.00 3,099.00 ) 2,849.00 3,399.O1 1OX14 2,749.00 .00 3,419.00 ) 3,199.00 3,759.01 1OX16 '" "" "' 3,199.00 3,459.00 3,919.00 3,699.00 4,299.01 1OX18 3,469.00 3,709.00 4,239.00 4,019.00 4,659.01 1OX20 '` 3,739.00 4,099.00 4,559.00 +,ei�).UO 4,999.00 4,099.00 4,279.00 4,999.01 12X12§ 2,799.00 3,139.00 3,479.00 3,079.00 3,269.00 3,829.01 12X14 3,099.00 3,489.00 3,839.00 3,399.00 3,639.00 4,219.01 12X16 3,579.00 3,889.00 4,379.00 3,939.00 4,159.00 4,799.01 12X18 "` 3,889.00 4,239.00 1 4,739.00 4,279.00 4,539.00 5,199.01 12X20 '� 4,229.00 4,699.00 5,079.00 4,599.00 4,899.00 5,589.01 §Model #4 is available on 12' front with 54" double door. Prices include installation in New Hampshire and Massachusetts. Tax NOT included. Prices subject to change without notice. •Permits are the customer's responsibility where required* Prices Effective 4111 f µORTq 1 TOWN OF NORTH ANDOVER OFFICE OF 0. BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 �►''�;,..e:.��'�� North Andover,Massachusetts 01845 c►nts�� Gerald A.Brown Telephone(978)688-9545 Fax (978)688-9542 Inspector of Buildings HOMEOWNER LICENSE EXEMPTION Please pri DATE: W-b 7 JOB LOCATION: /3 Gl ✓�J cl^�. �� Number Street Address Maput HOMEOWNERKoc Name Home Phone Work Phone PRESENT MAILING ADDRESS r.✓ycJ��• Sd`�t A^.44%tev- City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Cade Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned homeowner' assumesnsibility for compliances with the State Building Code and other � g Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that heishe will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Fom►Hwmwrurs Exemption BOARD OF \PPF:\LS(M-95 41 CO SERV.VRON 688-9530 11E.\1.11i 688-95.10 PLANNING 668-9535 MO RIGA GE lNSPEC r10 N P. L AN NO. 134 FA R N UM ST. /N N. ANDOVER , MASS. MIDDLESEX SURVEY INC. LAND SURVEYORS I3/ PARK ST. N. -READING , MASS . SCALE.' I It = /00` DA TE.' JULY /8, /996 CERTIFIED TO.' ANDOVER BANK U R/CHAW A. MCGLYNN LOT 4 44, 3.30�S.f.'-s 28.Z7 ST NOTES.' . /'OFFSETS ARENOT TO BE USED TO ESTABLISH PROPERT YLINES. 2)LOT L /NES ARE COMPILED INFORMATION , TI TL E REFEERSENCE REGISTRY EED BOOK 3298 PAiSl /HEREBY CERTIFY BASED ON MY KNOWLEDGE INFORMATION AND BEL IEF THAT THE STRUCTURES ONTHIS A AN ARE L OCA TED THE.GROUND APPROXIMATELYWN AS SHOWN. SETBACK REQp IREMENM AT THE TIME OF CONSTRUCT/ON AND THE PARCEL /SNOTIN A FLOOD HAZARAP ASSHOWN.ON F. E. M. A MAP COMMUNI T Y NO. ZONE.* X EFFECTIVE DATE.' 6-2-93 NO. P9070